| Ms Lillie Avetisyan-harvey, LCSW | |
|
1640 Newport Blvd Ste 110, Costa Mesa, CA 92627-7762 | |
| (925) 282-1778 | |
| Not Available |
| Full Name | Ms Lillie Avetisyan-harvey |
|---|---|
| Gender | Female |
| Speciality | Social Worker - Clinical |
| Location | 1640 Newport Blvd Ste 110, Costa Mesa, California |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1427628247 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 100984 (California) | Primary |
| Entity Name | Pacific Coast Psychiatric Associates Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1023125465 PECOS PAC ID: 2567469174 Enrollment ID: O20061024000383 |
| Mailing Address | Practice Location Address |
|---|---|
| Ms Lillie Avetisyan-harvey, LCSW 1640 Newport Blvd Ste 110, Costa Mesa, CA 92627-7762 Ph: (925) 282-1778 | Ms Lillie Avetisyan-harvey, LCSW 1640 Newport Blvd Ste 110, Costa Mesa, CA 92627-7762 Ph: (925) 282-1778 |
Michelle Elaine Glinski, MSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 2801 Bristol St, Costa Mesa, CA 92626 Phone: 714-850-8410 | |
Joseph Madrid, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 252 16th Pl Apt C, Costa Mesa, CA 92627 Phone: 949-566-5222 | |
Shelley Beckham, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 271 Mesa Dr, Costa Mesa, CA 92627 Phone: 949-422-1882 Fax: 949-548-2303 | |
Brian Jacobo, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 301 Victoria St, Costa Mesa, CA 92627 Phone: 949-642-2734 | |
Jeremy Quang Le, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 301 Victoria St, Costa Mesa, CA 92627 Phone: 949-642-2734 | |
Lizeth Dimas Sebastian, Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 2801 Bristol St, Costa Mesa, CA 92626 Phone: 714-850-8408 | |
Kelleen Carrie Stainer, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 555 Anton Blvd Ste 150, Costa Mesa, CA 92626 Phone: 949-204-0011 |